Organization
BIG BEND HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E WERTMAN MSW (CEO/ADMINISTRATOR)
(850) 878-5310
Entity
Organization
Contact information
Practice address
1723 MAHAN CENTER BLVD, TALLAHASSEE, FL 32308-5428
(850) 878-5310
(850) 309-1638
Mailing address
1723 MAHAN CENTER BLVD, TALLAHASSEE, FL 32308-5428
(850) 878-5310
(850) 309-1638
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
5002096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087524400
—
FL
05
—
087524401
—
FL
01
—
U15
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
08/02/2005
Last updated
03/31/2022
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